Individual
DR. DIVINA SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38 BELLEVILLE AVE, BLOOMFIELD, NJ 07003-5222
(973) 566-0445
(973) 566-0445
Mailing address
38 BELLEVILLE AVE, BLOOMFIELD, NJ 07003-5222
(973) 566-0445
(973) 566-9397
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI 02014600
NJ
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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